Serenitybehavioralhealth.LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SERENITYBEHAVIORALHEALTH.LLC

Practice address

15202 N Flamenco Dr
Phoenix, AZ 85053-4872

Phone

(520) 302-6217

Fax

(602) 907-4562

NPI assigned

Nov 23, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victor NkemNPI 1780289561

Title

Owner

Phone

(520) 302-6217

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor Nkem

  • Nurse's Aide
  • Phoenix, AZ
  • NPI 1780289561
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1972149078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15202 N FLAMENCO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534872",
            "telephone_number": "520-302-6217",
            "fax_number": "602-907-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15202 N FLAMENCO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534872",
            "telephone_number": "520-302-6217",
            "fax_number": "602-907-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITYBEHAVIORALHEALTH.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-23",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "NKEM",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-302-6217"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Residential Homes LLC
• Serenity Residential Homes, LLC
• Serenity Services
• Serenity Soul Therapy PLLC
• Serenity Wellness Group
• Sarah Serfilippi, LPC
• Dennis Carmelo Cadiz Serfino, AGACNP-BC
• Audu Thomas Seriki
• Yinka Seriki
• Rudy Serino, MD

• Mental Illness Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.